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PHARMACARE
CH09341B KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
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Covered Entity Details
Entity Name
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
Subdivision Name
KUHIO PARK TERRACE PUB. HOUSING
Type
HRSA-Funded Health Center
340B ID
CH09341B
Entity Address
1475 LINAPUNI ST BLDG A
HONOLULU, HI 96819-4212
Grant Number
H80CS00776
Participating Start Date
4/1/2011
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
PHARMACARE
Pharmacy Address
3375 KOAPAKA ST STE G320
HONOLULU, HI 96819-1898
Pharmacy Comments
Contract Details
Approval Date
10/16/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/22/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
DAVID DERAUF, Executive Director
(808) 791-9415
Contract Pharmacy Representative
Pharmacare
Corey Fujii, Chief Strategy Officer
(808) 840-4153
Signed By Date
10/16/2017
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